STRATEGY STUDIO / PUBLIC DATA EXPLORER

MARSHFIELD CLINIC HEALTH SYSTEM INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MARSHFIELD CLINIC HEALTH SYSTEM INC (EIN 46-1495343)
Tax period
2020-10-01 to 2020-12-31
Filed
2021-11-29
IRS object ID
202123339349300437
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-29T13:57:39-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14200 WELLS FARGO CTR 90 S 7THAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461495343EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARSHFIELD CLINIC HEALTH SYSTEMBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMARSBusinessNameControlTxt
Phone7153875511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 N OAK AVENUEAddressLine1Txt
CityMARSHFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54449ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGORDON T EDWARDSPersonNm
Person TitleCOO/CFOPersonTitleTxt
Phone7153875511PhoneNum
Signature2021-11-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGORDONPersonFirstNm
Person LastEDWARDSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMONROE J GIERLPreparerPersonNm
PTINP01413237PTIN
Phone6123055000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUSAN TURNEY MD CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 N OAK AVENUEAddressLine1Txt
CityMARSHFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54449ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$65,474,971GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MARSHFIELDCLINIC.ORG/HEALTH-SYSTEMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O. WE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee11822TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$173,688PYContributionsGrantsAmt
CY Contributions Grants$740,363CYContributionsGrantsAmt
PY Program Service Revenue$227,881,831PYProgramServiceRevenueAmt
CY Program Service Revenue$63,557,762CYProgramServiceRevenueAmt
PY Investment Income$2,930,082PYInvestmentIncomeAmt
CY Investment Income$1,155,996CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$230,985,601PYTotalRevenueAmt
CY Total Revenue$65,454,121CYTotalRevenueAmt
PY Grants And Similar Paid$856,705PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$59,733CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$147,671,036PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$38,546,337CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$107,238,122PYOtherExpensesAmt
CY Other Expenses$28,805,229CYOtherExpensesAmt
PY Total Expenses$255,765,863PYTotalExpensesAmt
CY Total Expenses$67,411,299CYTotalExpensesAmt
PY Revenues Less Expenses-$24,780,262PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,957,178CYRevenuesLessExpensesAmt
Total Assets BOY$945,887,022TotalAssetsBOYAmt
Total Assets EOY$563,033,323TotalAssetsEOYAmt
Total Liabilities BOY$596,698,689TotalLiabilitiesBOYAmt
Total Liabilities EOY$219,894,629TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$349,188,333NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$343,138,694NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE ENRICH LIVES TO CREATE HEALTHY COMMUNITIES THROUGH ACCESSIBLE, AFFORDABLE, COMPASSIONATE HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$67,411,299ExpenseAmt
Grant$59,733GrantAmt
Revenue$63,557,762RevenueAmt
DescSEE SCHEDULE O.MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) WAS INCORPORATED IN OCTOBER 2012 AS PART OF A PROSPECTIVE REORGANIZATION OF MARSHFIELD CLINIC AND ITS AFFILIATED ENTITIES INTO AN INTEGRATED HEALTHCARE SYSTEM. THE REORGANIZATION WAS IMPLEMENTED UPON RECEIPT OF AN INTERNAL REVENUE SERVICE (IRS) DETERMINATION LETTER RECOGNIZING MCHS AS A TAX-EXEMPT ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3) IN 2014. MCHS AS A STANDALONE ENTITY HOUSES CERTAIN ADMINISTRATIVE FUNCTIONS THAT SUPPORT THE SYSTEM AS A WHOLE.Desc
Total Program Service Expenses$67,411,299TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1168IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11822EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CATHY BUKOWSKI VP OF FINANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7153875511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 N OAK AVENUEAddressLine1Txt
CityMARSHFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54449ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
MARK BUGHER
CHAIR9.001.00Yes (X)Yes (X)$32,500$0$0
MARK BRADLEY
VICE CHAIR4.002.00Yes (X)Yes (X)$8,500$0$0
RICHARD LEINENKUGEL
TREASURER4.000.00Yes (X)Yes (X)$8,500$0$0
ALPA SHAH MD
SECRETARY4.0039.00Yes (X)Yes (X)$0$243,252$16,822
EDWARD FERNANDEZ MD
BOARD MEMBER3.0054.00Yes (X)$0$638,528$53,594
NEELAKANTAN NAMBOODIRI MD
BOARD MEMBER2.0053.00Yes (X)$0$360,247$42,309
SUSHMA THAPPETA MD
BOARD MEMBER2.0052.00Yes (X)$0$473,522$50,100
NICHOLAS BODMER MD
BOARD MEMBER2.0052.00Yes (X)$0$722,268$49,225
KENT RAY DO
BOARD MEMBER3.0053.00Yes (X)$0$335,197$52,460
JAYANTH VEDRE MD
BOARD MEMBER2.0052.00Yes (X)$0$732,731$52,454
DAVID JUNKER MD
BOARD MEMBER2.0052.00Yes (X)$0$707,478$53,937
TIMOTHY WENGERT MD
BOARD MEMBER2.0052.00Yes (X)$0$341,720$41,537
MATTHEW THOMAS MD
BOARD MEMBER3.0055.00Yes (X)$0$633,405$47,244
ELVIS PETER MD
BOARD MEMBER3.0052.00Yes (X)$0$871,834$52,460
BILL FONTI
BOARD MEMBER2.000.00Yes (X)$5,000$0$0
GEORGE BROWN MD
BOARD MEMBER2.000.00Yes (X)$6,000$0$0
LEAH BRASH
BOARD MEMBER4.000.00Yes (X)$7,000$0$0
MICHAEL LUEBKE
BOARD MEMBER4.001.00Yes (X)$29,000$0$0
CHUCK NASON
BOARD MEMBER4.001.00Yes (X)$4,750$0$0
BERNIE PATTERSON
BOARD MEMBER2.000.00Yes (X)$7,500$0$0
DAVID SHORE
BOARD MEMBER4.000.00Yes (X)$9,500$0$0
JANET LINDEMANN MD
BOARD MEMBER4.000.00Yes (X)$8,500$0$0
FRITZ WENZEL
BOARD MEMBER4.000.00Yes (X)$9,500$0$0
TERRY FRANKLAND
BOARD MEMBER4.001.00Yes (X)$15,000$0$0
NARAYANA MURALI MD
MCHS CHIEF STRATEGY OFFICER50.005.00$1,082,372$0$50,238Yes (X)
JULIE BRUSSOW
MCHS HEALTH PLAN CEO50.005.00$562,370$0$38,964Yes (X)
JERARD JENSEN
MCHS GENERAL COUNSEL50.005.00$986,292$0$46,087Yes (X)
GORDON EDWARDS
MCHS CFO/COO50.005.00$1,003,980$0$50,671Yes (X)
SUSAN TURNEY MD
MCHS CEO50.005.00$2,834,416$0$291,778Yes (X)
WILLIAM MELMS MD
CHIEF MEDICAL OFFICER50.005.00$607,112$0$45,361Yes (X)
PAULA PRITZL
MCHS CHIEF HR OFFICER50.000.00$255,411$0$42,739Yes (X)
JEANNE SCINTO
CHIEF TRANSFORMATION OFFICER50.005.00$484,078$0$46,040Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,967,281TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,060,182TotReportableCompRltdOrgAmt
Total Other Compensation$1,124,020TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1023IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TRIAGE LLC
PO BOX 3291OMAHANE68103MEDICAL SVCS$4,171,244
XTEND HEALTHCARE LLC
90 VOLUNTEER DRIVE SUITE 150HENDERSONVILLETN37075PROFESSIONAL SVCS$3,004,131
ATWATER SOLUTIONS LLC
PO BOX 611DEVONPA19333PROFESSIONAL SVCS$2,327,329
CHANGE HEALTHCARE SOLUTIONS LLC
22423 NETWORK PLACECHICAGOIL60673PROFESSIONAL SVCS$1,554,089
ELEKTA INC
PO BOX 404199ATLANTAGA30384PROFESSIONAL SVCS$1,415,667
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K89CntrctRcvdGreaterThan100KCnt
Related Organizations$56,890RelatedOrganizationsAmt
Government Grants$683,473GovernmentGrantsAmt
Total Contributions$740,363TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INTERCOMPANY REVENUE561000$62,106,019$62,106,019
CONTRACT REVENUE561000$1,451,743$1,451,743
FieldValueIRS element (for citing)
Total Program Service Revenue$63,557,762TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$801,207TotalRevenueColumnAmt
Exclusion$801,207ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$375,639SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,336SecuritiesAmt
Other$2,514OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$357,303SecuritiesAmt
Other-$2,514OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$354,789TotalRevenueColumnAmt
Exclusion$354,789ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,454,121TotalRevenueColumnAmt
Related Or Exempt Func Income$63,557,762RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,155,996ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$20,423TotalAmt
Program Services$20,423ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$39,310TotalAmt
Program Services$39,310ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,655,805TotalAmt
Program Services$2,655,805ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$23,650,826TotalAmt
Program Services$23,650,826ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,964,377TotalAmt
Program Services$2,964,377ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,538,051TotalAmt
Program Services$7,538,051ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,737,278TotalAmt
Program Services$1,737,278ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$575,466TotalAmt
Program Services$575,466ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$219,948TotalAmt
Program Services$219,948ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$257,449TotalAmt
Program Services$257,449ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,192,084TotalAmt
Program Services$4,192,084ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,066,062TotalAmt
Program Services$1,066,062ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,454,482TotalAmt
Program Services$1,454,482ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,980,654TotalAmt
Program Services$9,980,654ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,594,003TotalAmt
Program Services$1,594,003ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$196,423TotalAmt
Program Services$196,423ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,925TotalAmt
Program Services$1,925ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$245TotalAmt
Program Services$245ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,120,178TotalAmt
Program Services$5,120,178ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,849,803TotalAmt
Program Services$1,849,803ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$1,650,617$1,650,617
DUES, SUB., LICENSES$439,145$439,145
RECRUITMENT EXPENSES$115,124$115,124
TAXES$78,259$78,259

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,362TotalAmt
Program Services$13,362ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$67,411,299TotalAmt
Program Services$67,411,299ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,115,286BOYAmt
EOY$15,968,170EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$244,683BOYAmt
EOY$264,229EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$376,167,389BOYAmt
EOY$6,044,082EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$10,161,300BOYAmt
EOY$10,161,300EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$48BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,596,414BOYAmt
EOY$11,935,946EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$195,958,143LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$127,945,268LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$66,007,059BOYAmt
EOY$68,012,875EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$71,396,974BOYAmt
EOY$126,452,159EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$99,793,808BOYAmt
EOY$128,687,419EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$289,937,067BOYAmt
EOY$195,318,498EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,301,138BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$165,856BOYAmt
EOY$188,645EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$945,887,022BOYAmt
EOY$563,033,323EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$596,356,569BOYAmt
EOY$219,559,993EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$222,804BOYAmt
EOY$204,333EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$119,316BOYAmt
EOY$130,303EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$596,698,689BOYAmt
EOY$219,894,629EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$349,188,333BOYAmt
EOY$343,138,694EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$349,188,333BOYAmt
EOY$343,138,694EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$945,887,022BOYAmt
EOY$563,033,323EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,957,178ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,310,316NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$14,402,777OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations3SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
MARSHFIELD CLINIC INC
3904529703Yes (1)$0$0
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
3908372063Yes (1)$0$0
FLAMBEAU HOSPITAL INC
3909737243Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (1)SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (1)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, SECTION A, LINE 6THE COMMUNITY ENGAGEMENT DEPARTMENT PROVIDES SUPPORTS TO VARIOUS LOCAL NONPROFIT ORGANIZATIONS.
FORM 990, PART IV, SECTION D, LINE 3:SUPPORTING ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES AND USE OF ITS INCOME OR ASSETS BY VIRTUE OF THE OVERLAP OF BOARD AND EXECUTIVE OVERSIGHT.
FORM 990, PART IV, SECTION E, LINE 3A:MCHS HAS THE RIGHT TO APPOINT, ELECT OR APPROVE/DISAPPROVE MEMBERS OF MOST OF THE SUPPORTED ORGANIZATIONS' BOARDS. IN THE CASE OF MARSHFIELD CLINIC, INC., MCHS DOES NOT ELECT OR APPOINT, BUT THE 11 MEMBERS OF THE MARSHFIELD CLINIC BOARD ARE ALSO MEMBERS OF THE MCHS BOARD.
FORM 990, PART IV, SECTION E, LINE 3B:THERE IS EITHER BOARD OVERLAP OR EXECUTIVE OVERLAP IN EACH OF THE AFFILIATED ORGANIZATIONS. EXECUTIVE LEADERS FROM EACH SUPPORTED ORGANIZATION REPORT TO MCHS EXECUTIVES.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$246,757DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$10,692OtherActivitiesAmt
Total Lobbying Expenditures$257,449TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, PART II-B:FormAndLineReferenceDesc
ExplanationWHERE ITS EXPERIENCE MAY BE HELPFUL, MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) MAY OFFER RECOMMENDATIONS CONCERNING LEGISLATION OR REGULATIONS BEING CONSIDERED. IN ADDITION, IT MAY ANALYZE AND TAKE POSITIONS ON ISSUES THAT HAVE A RELATIONSHIP TO THE ORGANIZATION'S OPERATIONS. OCCASIONALLY STAFF MEMBERS WILL SEND MAIL TO MEMBERS OF CONGRESS AND THEIR STAFF. MCHS IS ALSO A MEMBER OF VARIOUS HEALTHCARE ASSOCIATIONS (I.E. WISCONSIN HOSPITAL ASSOCIATION) THAT MAY PERFORM SOME LOBBYING ACTIVITY. TOTAL DUES PAID BY MCHS ARE REPORTED ON LINE 1-I.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,550OtherCostOrOtherBasisAmt
Book Value$77,550BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,776,103OtherCostOrOtherBasisAmt
Depreciation$1,648,206DepreciationAmt
Book Value$7,127,897BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$288,227OtherCostOrOtherBasisAmt
Depreciation$184,031DepreciationAmt
Book Value$104,196BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$186,807,682OtherCostOrOtherBasisAmt
Depreciation$126,109,147DepreciationAmt
Book Value$60,698,535BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,581OtherCostOrOtherBasisAmt
Depreciation$3,884DepreciationAmt
Book Value$4,697BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$68,012,875TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescLTD PTNSHP COMM INVDesc
Book Value$128,687,419BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$128,687,419TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN HHJV-$92,559F
INVESTMENT IN SHP$195,411,057F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$195,318,498TotalBookValueProgramRltdAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES (ASC 740), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC 740, TAX POSITIONS WILL BE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND WILL PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. THE SYSTEM HAS DETERMINED THAT IT DOESN'T HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020 OR SEPTEMBER 30, 2019.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1TOWN OF BOULDER JUNCTIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 616AddressLine1Txt
CityBOULDER JUNCTIONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54512ZIPCd
FieldValueIRS element (for citing)
Recipient EIN396018408RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$15,000CashGrantAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePATIENT COST CHARITABLE BENEFITGrantTypeTxt
Recipient70RecipientCnt
Cash Grant$39,310CashGrantAmt
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationMARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) PROVIDES ASSISTANCE (PRIMARILY CONTRIBUTIONS) TO A VARIETY OF ORGANIZATIONS, ALL OF WHICH ARE 501(C)(3). MCHS MAKES DETERMINATIONS ON GRANTS AND OTHER ASSISTANCE BASED ON THE RECIPIENT ORGANIZATION'S MISSION, REPUTATION AND THE ORGANIZATION'S INTENDED USE OF FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUSAN TURNEY MD
MCHS CEO$1,736,862$0$647,870$0$449,684$0$270,161$0$21,617$0$3,126,194$0$241,400$0
NARAYANA MURALI MD
MCHS CHIEF STRATEGY OFFICER$747,104$0$272,924$0$62,344$0$21,519$0$28,719$0$1,132,610$0$0$0
GORDON EDWARDS
MCHS CFO/COO$747,640$0$210,274$0$46,066$0$21,519$0$29,152$0$1,054,651$0$0$0
JERARD JENSEN
MCHS GENERAL COUNSEL$772,789$0$171,649$0$41,854$0$21,519$0$24,568$0$1,032,379$0$0$0
ELVIS PETER MD
BOARD MEMBER$0$822,562$0$16,976$0$32,296$0$21,519$0$30,941$0$924,294$0$0
JAYANTH VEDRE MD
BOARD MEMBER$0$453,471$0$247,174$0$32,086$0$21,519$0$30,935$0$785,185$0$0
NICHOLAS BODMER MD
BOARD MEMBER$0$543,822$0$146,402$0$32,044$0$21,519$0$27,706$0$771,493$0$0
DAVID JUNKER MD
BOARD MEMBER$0$607,352$0$67,830$0$32,296$0$21,519$0$32,418$0$761,415$0$0
EDWARD FERNANDEZ MD
BOARD MEMBER$0$379,670$0$224,420$0$34,438$0$21,519$0$32,075$0$692,122$0$0
MATTHEW THOMAS MD
BOARD MEMBER$0$568,029$0$21,276$0$44,100$0$21,519$0$25,725$0$680,649$0$0
WILLIAM MELMS MD
CHIEF MEDICAL OFFICER$548,327$0$43,847$0$14,938$0$21,519$0$23,842$0$652,473$0$0$0
JULIE BRUSSOW
MCHS HEALTH PLAN CEO$441,747$0$104,090$0$16,533$0$21,519$0$17,445$0$601,334$0$0$0
JEANNE SCINTO
CHIEF TRANSFORMATION OFFICER$446,280$0$31,291$0$6,507$0$21,519$0$24,521$0$530,118$0$0$0
SUSHMA THAPPETA MD
BOARD MEMBER$0$344,668$0$116,268$0$12,586$0$21,519$0$28,581$0$523,622$0$0
NEELAKANTAN NAMBOODIRI MD
BOARD MEMBER$0$325,439$0$7,075$0$27,733$0$21,519$0$20,790$0$402,556$0$0
KENT RAY DO
BOARD MEMBER$0$315,879$0$6,522$0$12,796$0$21,519$0$30,941$0$387,657$0$0
TIMOTHY WENGERT MD
BOARD MEMBER$0$320,340$0$6,442$0$14,938$0$21,519$0$20,018$0$383,257$0$0
PAULA PRITZL
MCHS CHIEF HR OFFICER$238,198$0$12,815$0$4,398$0$19,158$0$23,581$0$298,150$0$0$0
ALPA SHAH MD
SECRETARY$0$228,274$0$4,535$0$10,443$0$16,822$0$0$0$260,074$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE ORGANIZATION MAY OCCASIONALLY REIMBURSE OR PROVIDE A HOUSING ALLOWANCE FOR KEY EXECUTIVES IN ORDER TO ASSIST WITH RELOCATING TO THE AREA. THE ORGANIZATION MAY ALSO CONTRIBUTE TO OR REIMBURSE FOR HEALTH AND SOCIAL CLUB DUES AS DEEMED NECESSARY IN ORDER TO SUPPORT A BUSINESS NEED.
PART I, LINE 3THE MARSHFIELD CLINIC HEALTH SYSTEM'S (MCHS) INDEPENDENT COMPENSATION COMMITTEE (THE COMMITTEE) HAS FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS EMPLOYED BY ANY OF THE ORGANIZATIONS IN THE SYSTEM. THE COMMITTEE USES COMBINATIONS OF THE FOLLOWING TO EVALUATE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND WRITTEN EMPLOYMENT CONTRACTS.
PART I, LINE 4B457(F) PLAN ALPA SHAH, MD - $7,000 EDWARD FERNANDEZ, MD - $10,000 NEELAKANTAN NAMBOODIRI, MD - $5,000 SUSHMA THAPPETA, MD - $10,000 NICHOLAS BODMER, MD - $10,000 KENT RAY, DO - $10,000 JAYANTH VEDRE, MD - $10,000 DAVID JUNKER, MD - $10,000 TIMOTHY WENGERT, MD - $10,000 MATHEW THOMAS, MD - $10,000 ELVIS PETER, MD - $10,000 NARAYANA MURALI, MD - $10,000 JULIE BRUSSOW - $10,000 JERARD JENSEN - $10,000 GORDON EDWARDS - $10,000 SUSAN TURNEY, MD - $278,676 WILLIAM MELMS, MD - $10,000
PART I, LINE 5SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS.
PART I, LINE 6SEVERAL INDIVIDUALS MAY RECEIVE INCENTIVE COMPENSATION BASED ON A VARIETY OF FACTORS, INCLUDING NOT ONLY FINANCIAL MEASURES SUCH AS REVENUE GROWTH OR EARNINGS, BUT ALSO QUALITY, SERVICE, MARKET EXPANSION, COMMUNITY & EMPLOYEE ENGAGEMENT, AND OTHER OUTCOMES OR EXPECTATIONS SET BY THE BOARD AND/OR CEO. ANY PERFORMANCE BONUS IS SUBJECT TO REVIEW BY THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE FOR REASONABLENESS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH AND ED FACILITIES AUTHORITY
A39133785597710BZ542012-06-13$107,540,304ACQUISITION, CONSTRUCTION, & RENOVATION000
WISCONSIN HEALTH AND ED FACILITIES AUTHORITY
B39133785597712DUG92016-10-05$316,977,541SEE PART VI000
WISCONSIN HEALTH AND ED FACILITIES AUTHORITY
C39133785597712DA712017-09-13$328,044,486REFUNDING OF SERIES 2017A BONDS000
WISCONSIN HEALTH AND ED FACILITIES AUTHORITY
D391337855977121DQ52018-09-26$100,000,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYr
A$2,645,000$107,298,259$1,440,312$106,487,94700Yes (1)Yes (1)
B$7,735,000$316,990,839$2,672,884$102,907,260Yes (1)0Yes (1)Yes (1)$6,038$211,404,6572017
C$6,615,000$328,044,486$3,044,486Yes (1)0Yes (1)Yes (1)$325,000,000
D$50,000,000$100,000,000$737,000$99,263,000000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.005600.000000.005600Yes (1)Yes (1)0.00340Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.012100.000000.012100Yes (1)Yes (1)0.00490Yes (1)
D0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)000Yes (1)
B0Yes (1)Yes (1)0Yes (1)00Yes (1)
C0Yes (1)Yes (1)0000Yes (1)
D0Yes (1)Yes (1)0Yes (1)00Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 3:FormAndLineReferenceDesc
ExplanationCOLUMN A: PART II, LINE 3: THE DIFFERENCE BETWEEN PART II, LINE 3 AND PART I (E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART IV, LINE 2C: THE REBATE COMPUTATION PERFORMED AS OF 02/15/2017 CONFIRMED THAT NO REBATE WAS DUE ON THE BONDS. COLUMN B: PART I(F): THE BONDS WERE ISSUED TO REIMBURSE THE BORROWER FOR COSTS ASSOCIATED WITH ITS NEW MONEY PROJECT AS WELL AS TO REISSUE THE SERIES 2012 BONDS (ISSUED ON 4/13/12), REFUND THE SERIES 2006B BONDS (ISSUED ON 1/31/06) REFINANCE A LINE OF CREDIT BY JP MORGAN CHASE BANK, N.A. (DRAWN ON 2/16/16) LINE OF CREDIT ISSUED ON (4/1/12), REFUND VARIOUS USDA LOANS AND PAY THE CHIPPEWA LEASE (ISSUED JULY 14, 2006). PART II, LINE 3: THE DIFFERENCE BETWEEN PART II, LINE 3 AND PART I (E) IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. PART IV, LINE 2B: THE CURRENT REFUNDING PORTION OF THE BONDS MET THE 6 MONTH EXCEPTION TO REBATE. COLUMN C: PART I(F): THE SERIES 2017A TAXABLE BONDS WERE ISSUED ON 06/30/2017. PART IV, LINE 2B: THE 2017BC BONDS MET THE 6 MONTH EXCEPTION TO REBATE. COLUMN D: PART I(F): THE BONDS WERE ISSUED TO FINANCE OR REIMBURSE THE BORROWER FOR COSTS ASSOCIATED WITH THE ACQUISITION, CONSTRUCTION, RENOVATION, AND EQUIPPING OF THE PROJECT AS WELL AS TO PAY ISSUANCE COSTS. PART IV, LINE 2B: ALL PROCEEDS OF THE BONDS WERE EXPENDED WITHIN 6 MONTHS OF THE ISSUE DATE, AND HAVE THUS MET THE REQUIREMENTS OF THE 6 MONTH EXCEPTION TO REBATE.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WI HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
A391337855NONEAVAIL2019-09-30$52,700,000SEE PART VI000
WI HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
B39133785597712D6Y72020-06-30$318,530,787SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCredit EnhancementCreditEnhancementAmtOther Spent ProceedsOtherSpentProceedsAmt
A$1,620,000$53,167,458$334,352$20,023,192$32,809,913000Yes (1)
B$318,531,490$1,197,766$99,783,072$217,630Yes (1)00Yes (1)$1,726,605$215,606,416

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)00Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)00Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)00Yes (1)00Yes (1)
B0Yes (1)Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JULIE KOPLITZ
FAMILY RELATIONSHIP$26,769COMPENSATION0
JUSTIN KOPLITZ
FAMILY RELATIONSHIP$39,740COMPENSATION0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBERS BERNIE PATTERSON AND CHUCK NASON HAVE A BUSINESS RELATIONSHIP. BOARD MEMBERS RICHARD LEINENKUGEL AND MARK BRADLEY HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BMARSHFIELD CLINIC HEALTH SYSTEM, INC. ENGAGES A PUBLIC ACCOUNTING FIRM TO PREPARE AND REVIEW THE FORM 990 IN ADDITION TO REVIEW BY THE SYSTEM CFO/COO AND TAX DEPARTMENT. PRIOR TO FILING THE FORM WITH THE IRS, THE CFO AND HIS/HER DESIGNEE WILL PROVIDE TO EACH MEMBER OF THE SYSTEM'S AUDIT AND COMPLIANCE COMMITTEE (A SUBCOMMITTEE OF THE BOARD OF DIRECTORS) A COPY IN ELECTRONIC OR PAPER FORM OF THE COMPLETED FORM 990 (AND ALL REQUIRED SCHEDULES) FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS, BOARD DIRECTORS, AND KEY EMPLOYEES OF EVERY MARSHFIELD CLINIC HEALTH SYSTEM (MCHS) ENTITY, AS WELL AS ANY OTHER PERSON DESIGNATED BY THE AUDIT AND COMPLIANCE COMMITTEE (ACC) TO BE A REQUIRED REPORTER BY VIRTUE OF HIS OR HER POSITION AT A SYSTEM ENTITY, SHALL ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. SUCH FORMS SHALL BE DISTRIBUTED AND RECORDED BY THE SYSTEM'S DESIGNATED COMPLIANCE OFFICER. ALL FINANCIAL INTERESTS DISCLOSED AS PART OF THE ANNUAL DISCLOSURE PROCESS SHALL BE REVIEWED BY THE ACC. THE ACC SHALL INFORM THE BOARD OF DISCLOSED FINANCIAL INTERESTS WHICH MAY BEAR UPON OR RELATE TO A TRANSACTION UPON WHICH THE BOARD OR ANOTHER BOARD, COMMITTEE OR OTHER BODY OF A SYSTEM ENTITY, MAY DELIBERATE OR ACT. IN ADDITION TO THE ANNUAL DISCLOSURES, IF AT ANY TIME BETWEEN ANNUAL DISCLOSURES, A REQUIRED REPORTER BECOMES AWARE THAT THE BOARD, OR A BOARD, COMMITTEE OR OTHER BODY, OF ANY SYSTEM ENTITY MAY DELIBERATE OR ACT UPON ANY TRANSACTION THAT MAY HAVE ANY BEARING OF ANY KIND UPON, OR MAY RELATE IN ANY MANNER TO, AN EXISTING, INTENDED OR EXPECTED FINANCIAL INTEREST OF THE REQUIRED REPORTER, HE OR SHE SHALL DISCLOSE THE FINANCIAL INTEREST TO THE RELEVANT SYSTEM ENTITY BOARD, COMMITTEE OR BODY CHAIR, AS WELL AS TO THE SYSTEM'S COMPLIANCE OFFICER, IN ADVANCE OF ANY DELIBERATIONS OR ACTION, WRITTEN DISCLOSURE OF THE EXISTENCE, NATURE AND EXTENT OF HIS OR HER FINANCIAL INTEREST. ALL WRITTEN OR ORAL DISCLOSURES OF FINANCIAL INTERESTS SHALL BE RECORDED IN THE MINUTES OF THE BOARD AND BY THE OFFICE OF THE COMPLIANCE OFFICER. THE COMPLIANCE OFFICER SHALL DISCLOSE THE COMPLETED FORMS AS NECESSARY TO THOSE MCHS EMPLOYEES RESPONSIBLE FOR COMPLETION OF THE IRS FORM 990.
FORM 990, PART VI, SECTION B, LINE 15THE SYSTEM'S INDEPENDENT COMPENSATION COMMITTEE (COMPENSATION COMMITTEE) SHALL HAVE FINAL AUTHORITY FOR APPROVING COMPENSATION AND BENEFITS OF ALL DISQUALIFIED PERSONS (AS THAT TERM IS DEFINED IN 4958 OF THE INTERNAL REVENUE CODE (THE CODE)) EMPLOYED BY THE CORPORATION, INCLUDING BUT NOT LIMITED TO THE CORPORATION'S CEO. THE TERM DISQUALIFIED PERSONS INCLUDES (BUT IS NOT LIMITED TO) ANY PERSON (OR THE PERSON'S FAMILY MEMBER) WHO WAS, AT ANY TIME DURING THE 5-YEAR PERIOD ENDING ON THE DATE OF THE TRANSACTION, IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. IT SHALL BE THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE TO INSURE THAT THE SYSTEM DOES NOT PAY AN AMOUNT THAT EXCEEDS REASONABLE COMPENSATION FOR ANY DISQUALIFIED PERSON. THE COMPENSATION COMMITTEE AND ITS OPERATING PROCEDURES SHALL BE DESIGNED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS OF COMPENSATION OUTLINED IN TREASURY REG. SEC. 53.4958-6 WITH RESPECT TO EACH DISQUALIFIED PERSON. IN DETERMINING REASONABLENESS OF COMPENSATION, THE COMPENSATION COMMITTEE SHALL EVALUATE APPROPRIATE INFORMATION AS TO THE COMPARABILITY OF COMPENSATION, INCLUDING BUT NOT LIMITED TO: COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE SYSTEM'S GEOGRAPHIC AREA; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN JOB OFFERS FROM SIMILAR INSTITUTIONS. THE COMPENSATION COMMITTEE SHALL HAVE INDEPENDENT AUTHORITY TO OBTAIN OUTSIDE EXPERT OPINIONS ON THE REASONABLENESS AND FAIR MARKET VALUE OF COMPENSATION AND GATHER OTHER INFORMATION IT CONSIDERS NECESSARY OR APPROPRIATE TO MAKE ITS DECISIONS ON COMPENSATION. THE COMPENSATION COMMITTEE SHALL TIMELY DOCUMENT ITS DETERMINATION OF REASONABLENESS OF COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19MARSHFIELD CLINIC HEALTH SYSTEM, INC. (MCHS) DOES NOT MAKE ITS CURRENT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UNLESS INCLUDED AS PART OF A FORM THAT IS REQUIRED TO BE PUBLICLY AVAILABLE.
FORM 990, PART XI, LINE 9:EQUITY INCOME FROM SECURITY HEALTH PLAN -14,443,655. EQUITY INCOME FROM MC HHJV LLV -24,914. NET ASSET TRANSFERS WITH RELATED ORGS 65,792.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SECURITY HEALTH PLAN OF WISCONSIN INC
1515 N ST JOSEPH AVEMARSHFIELDWI54449391572880HMOWI501(C)(4)N/AMCHSYes (1)
FLAMBEAU HOSPITAL INC
98 SHERRY AVEPARK FALLSWI54552390973724HOSPITALWI501(C)(3)3MCHS HOSP0
LAKEVIEW MEDICAL CENTER INC
1700 W STOUT STRICE LAKEWI54868390837206HOSPITALWI501(C)(3)3MCHS HOSP0
MARSHFIELD CLINIC INC
1000 N OAK AVEMARSHFIELDWI54449390452970MEDICAL SVCSWI501(C)(3)3MCHSYes (1)
VOLUNTEER PARTNERS OF LAKEVIEW MEDICAL
1700 W STOUT STRICE LAKEWI54868391329084SUPPORT ORGWI501(C)(3)12-TYPE III0N/A
FAMILY HEALTH CENTER OF MARSHFIELD INC
1000 N OAK AVEMARSHFIELDWI54449391681547COM HLTH CTRWI501(C)(3)70N/A
MCHS HOSPITALS INC
1000 N OAK AVEMARSHFIELDWI54449810977948HOSPITALWI501(C)(3)3MCHSYes (1)
MCHS FOUNDATION INC
1000 N OAK AVEMARSHFIELDWI54449812822823PHILANTHROPYWI501(C)(3)7MCHSYes (1)
BEAVER DAM COMMUNITY HOSPITALS INC
707 S UNIVERSITY AVEBEAVER DAMWI53916391157876HOSPITALWI501(C)(3)3MCHS HOSP0
MEMORIAL HOSPITAL INC
N3708 RIVER AVENEILLSVILLEWI54456390806828HOSPITALWI501(C)(3)3MCHS HOSP0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE DIAGNOSTIC & TREATMENT CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13401 CRANBERRY BLVDAddressLine1Txt
CityWESTONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54476ZIPCd
FieldValueIRS element (for citing)
EIN200691634EIN
Primary ActivitiesMEDICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MCHS FOUNDATION INC
C$56,890COST
SECURITY HEALTH PLAN OF WISCONSIN INC
S$100,000COST
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
P$496,489COST
SECURITY HEALTH PLAN OF WISCONSIN INC
P$833,412COST
MCHS HOSPITALS INC
P$2,441,452COST
THE DIAGNOSTIC & TREATMENT CENTER LLC
S$65,792COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, PART V, LINE 1:FormAndLineReferenceDesc
ExplanationMARSHFIELD CLINIC HEALTH SYSTEM, INC. (A 501(C)3 ORGANIZATION), IS THE PARENT ORGANIZATION OF THE FOLLOWING ORGANIZATIONS: MARSHFIELD CLINIC, INC. SECURITY HEALTH PLAN OF WISCONSIN, INC. MCHS HOSPITALS, INC. MARSHFIELD CLINIC HEALTH SYSTEM FOUNDATION, INC.ExplanationTxt